Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy

Male Infertility Clinical Trial

Official title:

Excision Versus Preservation of Spermatic Cord Lipoma Detected During Subinguinal Varicocelectomy in Infertile Men With Oligo-asthenzoospermia: A Prospective Randomized Trial.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06257459
• Other study ID #: 36137/12/22
• Status: Recruiting
• Phase: N/A
• Start date: January 1, 2023
• Est. completion date: December 1, 2024

Study information

• Verified date: February 2024
• Source: Tanta University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In the current study, the adult infertile patients with clinical varicoceles will be included. the patients will undergo subinguinal varicocelectomy. The patients with spermatic cord lipoma detected at the time of surgery will be enrolled and divided into 2 groups( excision group, group A and preservation group (B). semen parameters will be compared in both group at 3 and 6 months after surgery

Description:

This will be a prospective randomized study, in which adult infertile patients with clinical varicocele and oligo-athenospermia admitted to Urology department Tanta university hospital will be included and then the patients with detected spermatic cord lipoma at the time surgery will be enrolled and divided into 2 groups: GROUP A : will undergo subinguinal varicocelectomy with excision of spermatic cord lipoma GROUP B : will undergo subinguinal varicocelectomy with preservation of spermatic cord lipoma Inclusion criteria: - Adult infertile males - Clinical varicocele - oligo-asthenospermia Exclusion criteria: - Adolescent varicocele - Recurrent varicocele - Presence of inguinal hernia - Azospermic patients

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 200
• Est. completion date: December 1, 2024
• Est. primary completion date: June 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• Adult infertile males
• Clinical varicocele
• Semen analysis show oligo-athenospermia

Exclusion Criteria:

• Adolescent varicocele
• Recurrent varicocele
• Presence of inguinal hernia
• Azospermic patients

Related Conditions & MeSH terms

• Infertility
• Infertility, Male
• Male Infertility

Intervention

Procedure:
• subinguinal varicocelectomy
exision or preservation of spermatic cord lipoma during subinguinal varicocelectomy

Locations

Country	Name	City	State
Egypt	Ahmed Zoeir	Tanta	Gharbeya

Sponsors (1)

Lead Sponsor	Collaborator
Tanta University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	semen parameters improvement	semen analysis	3 and 6 months after surgery
Primary	symptoms improvement (pain and swelling)	improvement of preoperative scrotal pain and swelling was assessed	3 and 6 months after surgery
Secondary	postoperative complications	post-operative scrotal edema, hematoma and wound infection were assessed	early after surgery and late